This patient is 64 years old. He is a prostate cancer survivor; however, he also suffers from diabetes. Both his prostate cancer treatment and his diabetes contribute to his severe erectile dysfunction; more conservative treatments (Viagra, Cialis, etc) have failed to provide adequate erections.
In this patient’s surgery we have chosen to use a Boston Scientific device. After preoperative counseling this patient requested the AMS700 device based on the anti-infection coating of the implant: note the orange color of this implant; the color is the result of impregnation of the device with a combination of the antibiotics rifampin + minocycline. This impregnation has dramatically lowered infection rates during penile implant surgery. The anti-infection mechanism of the Coloplast Titan is a hydrophilic coating that allows the implant to be dipped into a solution of antibiotics of the surgeon’s choice prior to implantation.
There are two primary incisions used in inflatable penile implant surgery: the infrapubic incision and the scrotal incision. Both incisions are effective. In this surgery (as in over 90% of my penile implant procedures) we used the infrapubic incision; I believe the infrapubic incision causes less patient discomfort and bleeding and allows the patient to begin to use the device for sexual intimacy sooner vs the scrotal incision. My patients can begin device use for sex 3 weeks after implant surgery.
The basic steps involved in inflatable penile prosthesis surgery, as demonstrated in this case:
This patient was discharged from the hospital on the day of surgery. He will return to my office in 3 weeks for instruction in the inflation/deflation of the device, and at that time he may begin sexual activities. With an inflatable penile prosthesis there is no restriction on sexual intimacy practices (penetrative vaginal or anal sex, oral sex, masturbation).
Click Here to View Case #1: Placement of a Coloplast Titan Inflatable Penile Prosthesis